阴囊Fournier坏疽的临床分析(附14例报告)

关晓峰, 顾能玉, 金宏, 等. 阴囊Fournier坏疽的临床分析(附14例报告)[J]. 临床泌尿外科杂志, 2017, 32(3): 219-222. doi: 10.13201/j.issn.1001-1420.2017.03.014
引用本文: 关晓峰, 顾能玉, 金宏, 等. 阴囊Fournier坏疽的临床分析(附14例报告)[J]. 临床泌尿外科杂志, 2017, 32(3): 219-222. doi: 10.13201/j.issn.1001-1420.2017.03.014
GUAN Xiaofeng, GU Nengyu, JIN Hong, et al. Clinical analysis of Fournier's gangrene of scrotum(Report of 14 cases)[J]. J Clin Urol, 2017, 32(3): 219-222. doi: 10.13201/j.issn.1001-1420.2017.03.014
Citation: GUAN Xiaofeng, GU Nengyu, JIN Hong, et al. Clinical analysis of Fournier's gangrene of scrotum(Report of 14 cases)[J]. J Clin Urol, 2017, 32(3): 219-222. doi: 10.13201/j.issn.1001-1420.2017.03.014

阴囊Fournier坏疽的临床分析(附14例报告)

  • 基金项目:

    国家自然科学基金 (编号81360113)

详细信息
    通讯作者: 邓耀良, E-mail:dylkf317@163.com
  • 中图分类号: R697

Clinical analysis of Fournier's gangrene of scrotum(Report of 14 cases)

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  • 目的:探讨阴囊Fournier坏疽的临床特点、诊治方法及预后。方法:对我院2012年1月~2016年6月收治的14例阴囊Fournier坏疽患者的临床资料进行回顾性分析。结果:本组患者年龄为26~70岁, 平均年龄48岁;6例合并2型糖尿病, 3例合并肝硬化;原发于阴囊2例, 继发于肛周脓肿12例。所有患者均行清创手术, 积极的抗感染、支持治疗和换药处理;5例死亡, 9例痊愈;1例直接缝合创缘, 1例经长期换药后创面愈合, 7例行重建手术。结论:早期清创手术和积极的抗感染治疗仍是处理阴囊Fournier坏疽的关键, 创面的综合处理可以减少甚至避免重建手术, 白蛋白可能成为预测Fournier坏疽预后的有效指标。
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出版历程
收稿日期:  2016-11-22

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